Ashdale House

The care service had been designed, developed and registered before 'Registering the Right Support' and other best practice guidance was published. However, the registered manager was working to ensure that developments were designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People were supported by staff who treated them with kindness and care. Staff were patient, they understood people's needs, choices and knew what was important to each person. People were enabled to make their own decisions and choices about the care and support they received. Care and support was person centred.

People were enabled to maintain their own interests and friendships. Staff supported them to take part in activities of their choice to meet their individual needs and wishes and were meaningful to them. People had an activity planner so they knew what they were doing each day. These had been developed with staff.

Risk assessments provided guidance about individual and environmental risks. Staff understood the risks associated with the people they supported. They were able to tell us how they supported people to keep them safe and help to retain their independence. People were supported to receive their medicines when they needed them.

People were protected from the risks of harm, abuse or discrimination because staff knew what actions they should take if they identified concerns. There were enough staff, who had been safely recruited, working to provide the support people needed.

People were supported to have maximum choice and control of their lives and staff supported them in the

least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Staff received training and support that enabled them to deliver the specific support that people needed. People's health and well-being needs were met. They were supported to see their GP and access healthcare services when they were unwell and to maintain their ongoing health needs. Peoples nutritional needs were met. They were supported to eat and drink a variety of food that they enjoyed and had chosen.

Quality assurance systems had been developed and identified all areas for improvement. People's records were person centred and provided guidance for staff. There was a positive culture at the home.